HCPCS Code Details - L8020

HCPCS Level II Code
Orthotic and Prosthetic Procedures, Devices
HCPCS Code L8020
Description

Long description:
Breast prosthesis, mastectomy form

Short description:
Mastectomy form

HCPCS Modifier1
HCPCS Pricing indicator 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code D1F - Prosthetic/Orthotic devices
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 1996
Date added Added Jan 01, 1986
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS L8015 · External breast prosthesis garment, with mastectomy form, post mastectomy

  • HCPCS L8000 · Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

  • HCPCS L8001 · Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

  • HCPCS L8002 · Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type

  • HCPCS L8010 · Breast prosthesis, mastectomy sleeve

  • HCPCS L8030 · Breast prosthesis, silicone or equal, without integral adhesive


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”